摘要
目的将第三代喉罩与食管气管联合导管用于妇科腹腔镜手术全麻中,比较两者在维持通气效果、置入难易以及术中、术后并发症发生情况等几方面的优劣。方法将60例行妇科腹腔镜手术的患者随机分为喉罩组(PLMA组,n=30)和食管气管联合导管组(ETC组,n=30),两组均在快诱导下分别插入第三代喉罩和食管气管联合导管维持通气,观察两种装置插入的情况,维持通气的效果,术中、术后并发症发生的高低等。结果两组在置管成功率、心血管反应、通气效果、防止反流等几方面差异无统计学意义。ETC组术后咽喉痛高于PLMA组,在一次插入到位率、导管密闭性方面逊于PLMA组。结论第三代喉罩用于妇科腹腔镜手术全麻中较食管联合导管更具优势。
Objective To compare the effect of third-generation proseal laryngeal mask airway（PLMA） and esophageal tracheal combitube（ETC） used in gynecological laparoscopic operation.Methods Sixty patients who were scheduled for gynecologic laparoscopic surgery were randomly divided into PLMA group（n=30） and ETC group（n=30）.After induction of anesthesia,PLMA or ETC was inserted by routine methods.The ventilation effect,intraoperative and postoperative complications of the two groups were recorded.Results There was no statistically significant difference in success rate of intubation,cardiovascular reaction,ventilation effect,and regurgitation ratio between the two groups.The sore-throat ratio of ETC group was higher than that of PLMA group,but the success rate of the first attempt and the tightness of catheter in ETC group were inferior to those of PLMA group.Conclusions Application of PLMA in gynecological laparoscopic operation is superior to ETC.
出处
《实用预防医学》
CAS
2011年第6期1086-1088,共3页
Practical Preventive Medicine
关键词
第三代喉罩
食管气管联合导管
妇科
腹腔镜手术
Proseal laryngeal mask airway（PLMA）
Esophageal tracheal combitube（ETC）
Gynecology
Laparoscopic operation
